Acute Paediatrics — Flashcards

Flashcard 151: School exclusion for whooping cough (Pertussis) is for _____ after commencing antibiotics OR 21 days from onset of symptoms if not treated.

Answer: 48 hours

Extra: Whooping cough (Pertussis) is highly contagious. The exclusion period is aimed at preventing spread during the communicable stage. Prophylaxis may be required for high-risk household contacts.

Flashcard 152: School exclusion for mumps? _____

Answer: 5 days from swollen glands

Flashcard 153: Apgar score _____ = very low score 4-6 = moderate low 7-10 = good state

Answer: 0-3

Flashcard 154: School exclusion for influenza? _____

Answer: Until recovered

Flashcard 155: School exclusion for roseola? _____

Answer: None

Flashcard 156: A child with Kawasaki disease, what is an important investigation to screen for a potential complication? _____

Answer: echocardiogram for coronary artery aneurysm

Flashcard 157: School exclusion for scarlet fever? _____

Answer: 24 hours after commencing antibiotics

Flashcard 158: What are the symptoms of kawasaki disease? (6) _____

Answer: CRASH & burn Conjuctivitis (bilateral) Rash (erythematous polymorphous) Adenopathy (cervical lymph nodes) Strawberry tongue (oral mucositis) Hand-foot (oedema, erythema, & later peeling) & fever (high-grade fever lasting > 5 days)

Flashcard 159: What is the 2nd most common cause of meningitis from neonates to 3 months? _____

Answer: E coli + other gram -ve

Flashcard 160: School exclusion for slapped cheek (fifth disease)? _____

Answer: None

Extra: Once the rash appears, the child is no longer infectious. Parvovirus B19 is most contagious during the prodromal phase (fever, malaise) before the characteristic 'slapped cheek' rash develops.